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Washington rates for HCPCS 33987

Artery Expos/Graft Artery Perfusion Ecmo/Ecls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.60 / $589.91 / $20,680.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.92 / $257.60 / $536.47
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $276.77 / $917.37
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.27 / $476.56 / $1,777.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.75 / $410.68 / $598.36
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.30 / $435.72 / $551.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.06 / $440.46 / $564.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.52 / $305.33 / $493.50
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.92 / $383.21 / $410.04
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.77 / $276.77 / $276.94
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.06 / $460.34 / $550.97
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.27 / $398.38 / $536.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.00 / $3,323.00 / $36,803.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.25 / $395.20 / $584.13